Individual provider Active NPI

Anthony George Schaefer, D.C.

  • Chiropractor
  • Portland, OR
National Provider Identifier
1639355837
Registry record updated Jul 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
272749 Issued in OR
Practice address
4511 SE Hawthorne Blvd
Suite 214
Portland, OR 97215-3170
Phone
(503) 241-0042
Fax
(503) 241-0052
NPI assigned
Jan 17, 2008
Last updated
Jul 24, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 272749 OR Primary

Addresses

Primary practice location

4511 SE Hawthorne Blvd
Suite 214
Portland, OR 97215-3170

Mailing address

4511 SE Hawthorne Blvd
Suite 214
Portland, OR 97215-3170
Phone (503) 241-0042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
272749ORMDChiropractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374624000000",
    "number": "1639355837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 SE HAWTHORNE BLVD",
            "address_2": "SUITE 214",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972153170",
            "telephone_number": "503-241-0042",
            "fax_number": "503-241-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 SE HAWTHORNE BLVD",
            "address_2": "SUITE 214",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972153170",
            "telephone_number": "503-241-0042",
            "fax_number": "503-241-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "ANTHONY",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-17",
        "last_updated": "2013-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "272749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.